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Individual
LESTEL ESCORCIA
Active
Individual
LESTEL ESCORCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360950101
—
IL
01
—
040273
HEALTH ALLIANCE
IL
01
—
472307
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01N5
JOHN DEERE
IL
Enumeration date
07/28/2006
Last updated
07/08/2007
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